Individual
CHARLES PAUL GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 ALEX ST, LAFAYETTE, LA 70506-2005
(318) 509-9139
Mailing address
139 ALEX ST, LAFAYETTE, LA 70506-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46089
LA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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